Please select one:

Transfer of Expenditure Description:

Payment of Goods or Services provided by another department on campus (Recharge)

Date:

Charge Department

Credit Department

Required description must identify the OTPS expenditure to be transferred Amount

IDI#: ______________________________________OEC: ______________________________________DATE: ______________________________________ENTERED BY: ______________________________________

Charge: Account No. Amount Credit: Account No. Amount

GOODS OR SERVICES RECEIVED GOODS OR SERVICES RENDEREDSignature of Department Head (do not use BLACK ink): Signature of Department Head (do not use BLACK ink):

Print Name: Print Name:

Contact Phone or Email: Contact Phone or Email:

REMEMBER TO MAKE A COPY FOR YOUR RECORDS.

To charge an RF Account and credit a State or RF account, please submit to Sponsored Project Services, 402 Crofts Hall.

For IDIs between State Accounts, please submit original to Financial Services, 418 Crofts Hall.

For UBF IDI's, please submit to UBF, 103 Center for Tomorrow. Revised 11/15

FOR FINANCIAL SERVICES USE ONLY

AC / FM

By signing below, the signatory confirms that this expenditure or payment is in accordance with applicable guidelines, including the Food

and Beverage Reimbursement guidelines, and upon audit can provide supporting documentation of compliance.

Click here for Food and Beverage Reimbursement Guidelines

Total: Total:

OEC Code OEC Code

Receiving the goods or services

INTERDEPARTMENTAL INVOICE (IDI)

(description displayed in SIRI - 32 character limit)

UB Business Purpose

Rendering the goods or services

FISCAL YEAR: